Yoo Je-Bog, Kim Min-Jung, Cho Soo-Hyun, Shin Yoo-Jung, Kim Nam-Cho
Samsung Medical Center PACU, Seoul, Korea.
J Korean Acad Nurs. 2012 Jun;42(3):333-41. doi: 10.4040/jkan.2012.42.3.333.
The purpose of this study was to test whether pre-operative visual information and parental presence had positive effects on anxiety, delirium, and pain in pediatric patients who awoke from general anesthesia in a post-surgical stage.
This study used a non equivalent control-group post test design (n=76). Independent variables were provision of pre-operative visual information and parental presence for post-surgical pediatric patients in PACU (post anesthesia care unit). Dependent variables were anxiety, delirium, and pain in the pediatric patients measured three times at 10 minute intervals after extubation in the PACU. Measurements included Numerical Rating Scale for assessing state anxiety, Pediatric Anesthesia Emergence Delirium Scale by Sikich & Lerman (2004) for delirium, and Objective Pain Scale by Broadman, Rice & Hannallah (1988) for pain.
Experimental group showed significantly decreased state anxiety at time points-10, 20, and 30 minutes after extubation. Delirium was significantly lower at 10 minutes and 30 minutes after extubation in the experimental group. Pain was significantly lower at 10 minutes after extubation in the experimental group.
The results of this study suggest that this intervention can be a safe pre-operative nursing intervention for post-surgical pediatric patients at PACU.
本研究旨在测试术前视觉信息和家长陪伴对术后处于全身麻醉苏醒期的儿科患者的焦虑、谵妄和疼痛是否有积极影响。
本研究采用非等效对照组后测设计（n = 76）。自变量为在麻醉后护理单元（PACU）为术后儿科患者提供术前视觉信息和家长陪伴。因变量为在PACU拔管后每隔10分钟对儿科患者测量三次的焦虑、谵妄和疼痛。测量包括用于评估状态焦虑的数字评定量表、Sikich和Lerman（2004年）编制的用于评估谵妄的小儿麻醉苏醒期谵妄量表，以及Broadman、Rice和Hannallah（1988年）编制的用于评估疼痛的客观疼痛量表。
实验组在拔管后10分钟、20分钟和30分钟时状态焦虑显著降低。实验组在拔管后10分钟和30分钟时谵妄显著减轻。实验组在拔管后10分钟时疼痛显著减轻。
本研究结果表明，该干预措施对于PACU的术后儿科患者而言，可能是一种安全的术前护理干预措施。
